Individual
DONA RAE GRACE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3701 6TH AVE, SUITE 2, TACOMA, WA 98406-4950
(253) 306-9835
Mailing address
4502 N 10TH ST, TACOMA, WA 98406-3604
(253) 306-9835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60204116
WA
Other
Enumeration date
02/03/2011
Last updated
04/27/2016
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